bloody nose?

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jmk302

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I am a new diver, and on my last couple of dives, have surfaced with a rather bloody nose. I was only down about 40 feet, and had no problems equalizing, nor did I have a cold or any sinus conjestion. Has anyone else experienced this? Any ideas or thoughts? My doc told me to take a couple weeks off, but am worried that this is going to be an ongoing problem.
 
Sounds to me like you were trying to equalize to hard, rupturing some sinus vessels.

Instructions for Equalizing Ears and Sinuses

Middle ear and sinus barotrauma are the most common injuries associated with exposure to increasing and decreasing pressure. Descent in the water adds approximately one-half pound of pressure for each foot of descent and diminishes a similar amount on ascent. According to Boyle's Law, as the pressure increases on descent, the volume of a gas in an enclosed space decreases proportionately. As the pressure decreases on ascent, the volume of the gas increases proportionately. On descent it is imperative that all enclosed air filled spaces be equalized actively or passively. On ascent, the increasing volume usually vents itself naturally.

For equalization to be effective, you should be free of nasal or sinus infections or allergic reactions. The lining of the nose, throat and eustachian tubes should be as normal as possible. If this is true, the following techniques are effective in reducing middle ear and sinus squeeze.


Prior to descent, neutrally buoyant, with no air in your buoyancy compensator, gently inflate your ears with one of the techniques listed below. This gives you a little extra air in the middle ear and sinuses as you descend.
Descend feet first, if possible. This allows air to travel upward into the Eustachian tube and middle ear, a more natural direction. Use a descent line or the anchor line.
Inflate gently every few feet for the first 10 to 15 feet.
Pain is not acceptable. If there is pain, you have descended without adequately equalizing.
If you do not feel your ears opening, stop, try again, perhaps ascending a few feet to diminish the pressure around you. Do not bounce up and down. Try to tilt the blocked ear upward.
If you are unable to equalize, abort the dive. The consequences of descending without equalizing could ruin an entire dive trip or produce permanent damage and hearing loss.
If your doctor agrees, you may use decongestants and nasal sprays prior to diving to reduce swelling in the nasal and ear passages. Take them one to two hours before descent. They should last from eight to 12 hours so you don't need to take a second dose before a repetitive dive. Nasal sprays should be taken thirty minutes before descent and usually last twelve hours. Take caution when using over-the-counter nasal sprays. Repeated use can cause a rebound reaction with worsening of congestion and possible reverse block on ascent.
If at any time during the dive you feel pain, have vertigo (the whirlies) or note sudden hearing loss, abort the dive. If these symptoms persist, do not dive again and consult your physician.

Equalizing Techniques
Passive - requires no effort
Valsalva - increase nasopharynx pressure by holding nose and breathing against a closed glottis (throat)
Toynbee - swallowing with mouth and nose closed - good for ascent!
Frenzel - Valsalva while contracting throat muscles with a closed glottis
Lowry - Valsalva plus Toynbee - holding nose, gently trying to blow air out of nose while swallowing - easiest and best method!
Edmonds - jutting jaw forward plus Valsalva and/or Frenzel (good method)
Miscellaneous - swallowing, wiggling jaws - good for ascent!

From the January 2001 issue of Alert Diver.
 
Shaka's remedies to equalization problems seems pretty complete and i would agree that it is to do with your rate of equalization. When i got certified, just under a year ago i had so many problems equalizing, getting "full ears" due to blood in the middle ear from poor equalization, also i got a bloody nose every dive, to start off with it was a reasonable amount of blood that concerned people. Now after 4-5 months or so of working on this, doing slower descents (i found even if i was equalizing fast descents werent helping my nose) and equalizing often, but not too hard, the ear problem went and so did my nose trouble. I still sometimes have a little phlem with blood in it when i surface, but it is nothing compared to when i started out. I think for some people their ears and nose have to get used to the action of equalising and muscles/reactions able to cope with it. It can take time, can be frustrating, but it should pass soon enough.

I wonder down here whether i have allergies to something i dont know about (as i didnt grow up around here) and if that also sometimes makes me groggy or more susceptible to having these problems, but again, it is far better than it was, so as long as they keep improving i am happy to keep diving! Hope yours clears up as well! ;)
 

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